NEW USERS

TO ENTER THE PROMOTION, REGISTER BELOW:

FIRST NAME
SURNAME
AGE
ADDRESS
EMAIL ADDRESS
TEL # (10 Digits, No Spaces or Dashes)
CREATE PASSWORD
VERIFY PASSWORD
WHICH RUBIS STATION DO YOU USUALLY FREQUENT?
Which products do you usually purchase? (Select all that apply)
The form requires you attention please fill out all details.

TERMS AND CONDITIONS APPLY. COMPETITION CLOSES 11:59PM, 12 NOVEMBER, 2023.
PRIZE DRAWS TAKE PLACE BETWEEN 2 OCTOBER AND 13 NOVEMBER, 2023.